Patient self reports sexual arousal from object insertion, vaginally, anally, and orally during role-playing (302.9 Paraphila). Patient has been hospi...alized on numerous occasion related to injury suffered during this type of sexual activity. Her last hospitalization was approximately six months ago on January 29, 2004. She required a blood transfusion because of sever internal bleeding from wounds received vaginal and anally. She was hospitalized for ten days, at which time she was released,. I should note that Terry is one of the best card players that I know of. We were drinking and as the game went on Terry was winning a lot per our plan. She was acting as if she were getting drunk, though she had switched to just the mixers and no alcohol. She then started playing to loss and she did this well. Finally, she was out of money and did not want to drop out of the game. I said the rules are out of money out of the game. She pretending to be drunk was begging us to let her slide one. More

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